ArticleSAGE open medicine2017
Does increased standardisation in health care mean less responsiveness towards individual patients' expectations? A register-based study in Swedish primary care.
Article in SAGE open medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical patient-reported experience measures and qualitative experience studies: systematic review.BJS open · 2024Pooled it
- Case-mix adjustments of patient reported experience measures in general practice: variations between Norwegian municipalities.Scandinavian journal of primary health care · 2026Article
- Understanding the cultural environment of the outpatient care setting for patients with dementia receiving cancer treatment: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Commissioned reports in Swedish healthcare governance - descriptive mapping and a content analysis.BMC health services research · 2022Article
- Patient and healthcare provider perceptions on using patient-reported experience measures (PREMs) in routine clinical care: a systematic review of qualitative studies.Journal of patient-reported outcomes · 2022Review
- Pursuing the objectives of support to providers and external accountability through enabling controls - a study of governance models in Swedish primary care.BMC health services research · 2019Article
- Process measures or patient reported experience measures (PREMs) for comparing performance across providers? A study of measures related to access and continuity in Swedish primary care.Primary health care research & development · 2018Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWe explore whether standardisation in health care based on evidence on group level and a public health perspective is in conflict with responsiveness towards individual patient's expectations in Swedish primary care.
methodsUsing regression analysis, we study the association between patient views about providers' responsiveness and indicators reflecting provider's adherence to evidence-based guidelines, controlled for characteristics related to providers, including patient mix and degree of competition facing providers. Data were taken from two Swedish regions in years 2012 and 2013.
resultsPatients' views about responsiveness are positively correlated with variables reflecting provider's adherence to evidence-based guidelines regarding treatment of elderly and risk groups, drug reviews and prescription of antibiotics. A high overall illness, private ownership and a high proportion of all visits being with a doctor are positively associated with patient views about responsiveness. The opposite relation was found for a high social deprivation among enrolled individuals and size of practice. There was no systematic variation with respect to the degree of competition facing providers.
conclusionResults suggest that responsiveness towards individual patient expectations is compatible with increased standardisation in health care. This is encouraging for health care providers as they are challenged to balance increased demands from both patients and payers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.